2013—2022年黑龙江省个人现金卫生支出占总费用比重变化趋势研究  

Study on the Trend of Out-of-Pocket as a Proportion of Total Health Expenditure in Heilongjiang Province from 2013 to 2022

作　　者：高非 苏立业 杨威 纪宝辉 Gao Fei;Su Liye;Yang Wei(Heilongjiang Health Development Research Center,Harbin,Heilongjiang,150080,China;不详)

机构地区：[1]黑龙江省卫生健康发展研究中心,黑龙江哈尔滨150080 [2]黑龙江省卫生健康委,黑龙江哈尔滨150080

出　　处：《中国卫生经济》2024年第11期49-52,共4页Chinese Health Economics

基　　金：黑龙江省卫生健康委课题项目(20221212071092)。

摘　　要：目的:探究2013—2022年黑龙江省个人现金卫生支出占卫生总费用的比重变化趋势,评估黑龙江省居民医疗经济负担和卫生资源的公平分配情况。方法:采用统计描述与比较研究法,收集2013—2022年黑龙江省的卫生总费用及个人现金卫生支出数据,并与东北地区其他省份及全国水平进行比较。结果:黑龙江省个人现金卫生支出占总费用比重从2013年的41.56%下降至2022年的28.88%,虽然呈现下降趋势,但与全国同期水平相比,仍然较高。政府卫生支出和社会卫生支出占总费用的比重逐渐上升,显示出黑龙江省政府和社会在卫生领域的投入增加。结论:尽管黑龙江省个人现金卫生支出占总费用比重有所下降,但个人承担的医疗经济压力仍然较重。建议黑龙江省政府继续加大卫生投入,优化卫生筹资模式,提高卫生服务效率,降低个人卫生支出负担,以实现卫生资源的公平分配。Objective:To explore the trend of Out-of-Pocket as a proportion of total health expenditure in Heilongjiang Province from 2013 to 2022,assessing the medical economic burden on residents and the equitable distribution of health resources.Methods:It employs statistical description and comparative research methods,collecting data on total health expenditure and Out-of-Pocketfor medical care in Heilongjiang Province from 2013 to 2022.A horizontal comparative analysis is conducted,comparing these trends with other provinces in the Northeast region and at the national level.Results:The Out-of-Pocket proportion in total health expenditure in Heilongjiang Province decreased from 41.56%in 2013 to 28.88%in 2022,indicating a downward trend;however,it remains higher than the national average during the same period.Additionally,the proportion of government health expenditure and social health expenditure has gradually increased,reflecting greater investment in the health sector by both the government and society.Conclusion:Although the Out-of-Pocket proportion in total health expenditure in Heilongjiang Province has decreased,the medical economic pressure on residents remains significant.It is recommended that the government continue to enhance health investment,optimize the health financing model,improve the eficiency of health services,reduce the burden of personal health expenditure,and achieve a more equitable distribution of health resources.

关 键 词：个人现金卫生支出 卫生总费用 卫生筹资 卫生资源配置 黑龙江 

分 类 号：R1-9[医药卫生—公共卫生与预防医学] F014.4[经济管理—政治经济学]